Ladores, Baby Girl .

HRN: 25-57-51  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/26/2024
AMPICILLIN 500MG (VIAL)
08/26/2024
09/01/2024
IVT
175mg
Q6
Pneumonia
Waiting Final Action 
08/26/2024
CEFTAZIDIME 1GM (VIAL)
08/26/2024
09/01/2024
IVT
175mg
Q12
Pneumonia
Waiting Final Action 
09/02/2024
AZITHROMYCIN 200MG/5ML, 15ML SUSPENSION (SUSP)
09/02/2024
09/07/2024
PO
1ml
OD
PCAP-C
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: